Effects of Self-Care on Quality of Life in Adults With Heart Failure and Their Spousal Caregivers: Testing Dyadic Dynamics Using the Actor-Partner Interdependence Model

Ercole Vellone; Misook L. Chung; Antonello Cocchieri; Gennaro Rocco; Rosaria Alvaro; Barbara Riegel

doi:10.1177/1074840713510205

Effects of Self-Care on Quality of Life in Adults With Heart Failure and Their Spousal Caregivers: Testing Dyadic Dynamics Using the Actor-Partner Interdependence Model

Ercole Vellone, Misook L. Chung, Antonello Cocchieri, Gennaro Rocco, Rosaria Alvaro, Barbara Riegel

College of Nursing

Research output: Contribution to journal › Article › peer-review

80 Scopus citations

Abstract

Emotions are contagious in couples. The purpose of this study was to analyze the manner in which adults with chronic heart failure (HF) and their informal caregivers influence each other's self-care behavior and quality of life (QOL). A sample of 138 HF patients and spouses was enrolled from ambulatory centers across Italy. The Actor-Partner Interdependence Model (APIM) was used to analyze dyadic data obtained with the Self-Care of Heart Failure Index (SCHFI), the Caregivers Contribution to the SCHFI, and the Short Form 12. Both actor and partner effects were found. Higher self-care was related to lower physical QOL in patients and caregivers. Higher self-care maintenance in patients was associated with better mental QOL in caregivers. In caregivers, confidence in the ability to support patients in self-care was associated with improved caregivers' mental QOL, but worsened physical QOL in patients. Interventions that build the caregivers' confidence are needed.

Original language	English
Pages (from-to)	120-141
Number of pages	22
Journal	Journal of Family Nursing
Volume	20
Issue number	1
DOIs	https://doi.org/10.1177/1074840713510205
State	Published - Feb 2014

Bibliographical note

Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Riegel has been funded by NIH to study issues related to the content in this paper. This study was funded by the Center of Excellence for Nursing Scholarship, Rome, Italy.

Keywords

Actor-Partner Interdependence Model
couples
dyads
family caregivers
heart failure
quality of life
self-care

ASJC Scopus subject areas

Community and Home Care
Family Practice

Access to Document

10.1177/1074840713510205

Cite this

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title = "Effects of Self-Care on Quality of Life in Adults With Heart Failure and Their Spousal Caregivers: Testing Dyadic Dynamics Using the Actor-Partner Interdependence Model",

abstract = "Emotions are contagious in couples. The purpose of this study was to analyze the manner in which adults with chronic heart failure (HF) and their informal caregivers influence each other's self-care behavior and quality of life (QOL). A sample of 138 HF patients and spouses was enrolled from ambulatory centers across Italy. The Actor-Partner Interdependence Model (APIM) was used to analyze dyadic data obtained with the Self-Care of Heart Failure Index (SCHFI), the Caregivers Contribution to the SCHFI, and the Short Form 12. Both actor and partner effects were found. Higher self-care was related to lower physical QOL in patients and caregivers. Higher self-care maintenance in patients was associated with better mental QOL in caregivers. In caregivers, confidence in the ability to support patients in self-care was associated with improved caregivers' mental QOL, but worsened physical QOL in patients. Interventions that build the caregivers' confidence are needed.",

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note = "Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Riegel has been funded by NIH to study issues related to the content in this paper. This study was funded by the Center of Excellence for Nursing Scholarship, Rome, Italy.",

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Effects of Self-Care on Quality of Life in Adults With Heart Failure and Their Spousal Caregivers: Testing Dyadic Dynamics Using the Actor-Partner Interdependence Model. / Vellone, Ercole; Chung, Misook L.; Cocchieri, Antonello et al.
In: Journal of Family Nursing, Vol. 20, No. 1, 02.2014, p. 120-141.

Research output: Contribution to journal › Article › peer-review

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Effects of Self-Care on Quality of Life in Adults With Heart Failure and Their Spousal Caregivers: Testing Dyadic Dynamics Using the Actor-Partner Interdependence Model

Abstract

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Keywords

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